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Breast Stimulation in Low-Risk Primigravidas at Term: Does It Aid in Spontaneous Onset of Labour and Vaginal Delivery? A Pilot Study
Breast Stimulation in Low-Risk Primigravidas at Term: DoesIt Aid in Spontaneous Onset of Labour and Vaginal Delivery?A Pilot Study
Bunga dewanggi, S.Ked14712100Stase Obstetri & GinekologiRSUD dr.Soediran Mangun Sumarso Wonogiri
Nilanchali Singh, Reva Tripathi, Yedla ManikyaMala, and Niharika Yedla BioMed Research InternationalVolume 2014, Article ID 695037, 6 pages
Introduction Spontaneus onset of labour better fetal-maternal outcomeInduction widely use to avoid postdatism Low risk primigravida more need intervention Many nonpharmacologic methods is use in different culture to cervical ripening since ages breast massage more acceptable in indiaWith breast stimulation facilitate releasing oxytosin from posterior pituitary cervical ripeningBreast stimulation for induction lack of evidence efficacy & safety ???
Methods
Characteristic of sample
Both grups are similliarResult maternal
Result 6Result fetal
NO significant OUTCOME between controlled vs intervention grupConclusion Critical appraisalBreast Stimulation in Low-Risk Primigravidas at Term: Does It Aid in Spontaneous Onset of Labour and Vaginal Delivery?A Pilot Study
PICOProblemLow risk primigravida with cephalic presentation, 36-38 week gestationInterventionBreast stimulationComparisonWithout stimulationOutcomeSpontaneus onset of labor and vaginal delivery1 Did the study ask a clearly focused question?YESClearly focuzed on population, sample, intervention, controled and outcome2Was this randomized control trial (RCT) and was it appropriately so?YES200 patients were recruited and randomized into two groups of 100 each by computer generated sequence3Were participants appropriately allocated to intervention and control grups?YESParticipants are divide into 2 grups : breast stimulation & no stimulation4Were participants, staff and study personel blind to participants study grup?CANT TELLNo explanation 5Were all of the participants who entered the trial accounted for at its conclusion?NOThere is one patient who missed follow up (controlled grup)6Were the participants in all grups followed up and data collected in the same way?YESFollow up and data collected was done on same time and way (bishops + pelvic exam)7Did the study have enough participants to minimize the play of change ?CANT TELLThe calculation of sample wasnt explained8How are the results presented and what is the main result ?RESULT are presented on tabel (maternal+fetal outcome), main result are breast stimulation help servical ripening 9How precise are the result ?With P-value < 0,05 (significant) the result was precise to help me making decision of my patient10Should policy or practice change as a result of the evidence obtained in this trial ?YESThis evidence is applicable for my patient